# EAST COAST TELEPSYCHIATRY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Coast Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750044426
- **Authorized official:** AMY R. PHARR APRN (DIRECTOR, NP)
- **Authorized official phone:** (804) 246-4942

## Contact information

- **Practice address:** 268 NORTHUMBERLAND HWY, CALLAO, VA 22435-2222
- **Practice address phone:** (804) 246-4942
- **Practice address fax:** (843) 299-2474
- **Mailing address:** 861 LAKE RD, LOTTSBURG, VA 22511-2667
- **Mailing address phone:** (804) 246-4942
- **Mailing address fax:** (843) 299-2474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2021
- **Last updated:** 10/04/2026